Individual provider Active NPI

Sierra Nicole Denefe, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1265812267
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2779 Issued in TN
Practice address
2021 Church St
Suite 200
Nashville, TN 37203-2021
Phone
(615) 324-1600
Fax
(615) 284-2003
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2779 TN Primary

Addresses

Primary practice location

2021 Church St
Suite 200
Nashville, TN 37203-2021

Mailing address

2021 Church St
Suite 200
Nashville, TN 37203-2021
Phone (615) 324-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721001806 TN Practitioner - Physician Assistant 2961715826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Sports Medicine and Orthopaedic Center PLCGroup PAC ID 8729009634, 90 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 200
Nashville, TN 37203-2689
Phone (615) 324-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince Apr 20, 2015 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince Apr 20, 2015 Accepting new patients

Locations

5021 Carothers Pkwy
Franklin, TN 37067
Phone (615) 567-5750

2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

2021 Church St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1265812267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032021",
            "telephone_number": "615-324-1600",
            "fax_number": "615-284-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032021",
            "telephone_number": "615-324-1600",
            "fax_number": "615-284-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEFE",
        "first_name": "SIERRA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.